| NPI | 1790295343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DC PRC13693) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: DC PRC13693) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC PRC13693) | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |