| NPI | 1356986533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 283873) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 260166) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 276298) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2023-05-09 |