| NPI | 1336563998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC15293) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2025-04-17 |