| NPI | 1386002608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 6401014456) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 6803086506) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |