NPI | 1811565906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC PRC200001391) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LGPC00551) |
Enumeration Date | 2021-06-15 |
Last Update Date | 2025-10-03 |