| NPI | 1710356209 |
|---|---|
| Former Name | AUGUSTINA O JOEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ BH4920) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2022-05-19 |