NPI | 1609566074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 251E00000X Home Health |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA T0628) | |
Enumeration Date | 2023-05-10 |
Last Update Date | 2025-09-09 |