NPI | 1124287263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YP1600X Counselor, Pastoral | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2008-06-04 |
Last Update Date | 2013-06-21 |