| NPI | 1073826939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 175163) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 276300) |
| 101YP2500X Counselor, Professional (Licence: KY 175163) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2024-04-09 |