| NPI | 1215301908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008307) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC CACII1170) |
| 101YP2500X Counselor, Professional (Licence: DC PRC14579) | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2022-05-13 |