| NPI | 1568988228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14962) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 321077) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102268) | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2024-04-18 |