| NPI | 1326624032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC LGPC00618) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC 1407) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |