| NPI | 1316448566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2024-05-20 |