| NPI | 1316383896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 118338) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-01175) |
| 104100000X Social Worker (Licence: KY 255156) | |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2020-09-21 |