| NPI | 1780385633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0704016466) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC CACII200001221) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2024-02-15 |