| NPI | 1891323895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC CACII1180) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2023-08-01 |