| NPI | 1003586736 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC CACII200001243) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC CACII200001243) | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-09-14 | 
| Last Update Date | 2024-07-11 |