| NPI | 1417286014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC 200001290) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN44491) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: DC RN44491) | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2026-07-09 |