| NPI | 1346098100 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: KY 1212765)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 297913)  | 
| Enumeration Date | 2024-05-07 | 
| Last Update Date | 2025-04-27 |