| NPI | 1881468098 |
|---|---|
| Former Name | JOANNA VIRGINIA DUGALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-64848) |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2024-07-03 |