| NPI | 1184096117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC15115) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC PRC15115) |
| 101YP2500X Counselor, Professional (Licence: NC A9048) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2024-09-16 |