| NPI | 1154995884 |
|---|---|
| Former Name | MADISON HOPE MCGONIGAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 1063-5-1-20-480) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1942) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2023-02-13 |