| NPI | 1053003392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 290111) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 258454) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2024-08-20 |