| NPI | 1568886950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC CACII1226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14497) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2025-03-11 |