NPI | 1588286488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC CAC1-1003) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LGPC00419) |
Enumeration Date | 2020-05-13 |
Last Update Date | 2023-07-18 |