| NPI | 1215591706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 270165) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 260378) |
| 171M00000X Case Manager/Care Coordinator (Licence: KY 270165) | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2025-02-10 |