| NPI | 1265924112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 274118) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 172550) |
| 251B00000X Case Management | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-02-02 |