NPI | 1194117689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 300093BN) | |
Enumeration Date | 2015-02-20 |
Last Update Date | 2019-06-18 |