NPI | 1508010356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA RS5064) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA RW2341) |
Enumeration Date | 2008-11-06 |
Last Update Date | 2011-06-03 |