| NPI | 1073983854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 081153) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 168863) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 283159) | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2023-10-10 |