| NPI | 1174088223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 281764) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 281674) |
| 101YP2500X Counselor, Professional (Licence: KY 281674) | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2023-01-23 |