| NPI | 1194516930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 301371) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 259474) |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2026-03-12 |