NPI | 1265034185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 259778) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 292582) |
Enumeration Date | 2020-11-16 |
Last Update Date | 2025-01-31 |