| NPI | 1306528104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KY 285634) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KY 268400) |
| 104100000X Social Worker (Licence: KY 258261) | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2024-07-16 |