| NPI | 1265854392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14450) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD 699) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC CAC11043) | |
| 101YP2500X Counselor, Professional (Licence: DC 115023) | |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2023-02-28 |