| NPI | 1437551181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA RW7493) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2018-04-17 |