| NPI | 1568776342 |
|---|---|
| Former Name | GRETA JEAN CARREATHERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2019-10-24 |