| NPI | 1275208035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 282898) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 255977) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2024-03-14 |