| NPI | 1306291851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 164582) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY ADCADC00225693) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2017-03-20 |