NPI | 1316161904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2018-10-23 |