| NPI | 1154184075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |