| NPI | 1295367662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 293516) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 293516) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 277914) | |
| 101YP2500X Counselor, Professional (Licence: KY 293516) | |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2025-01-30 |