| NPI | 1396560215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 294178) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 283844) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 274602) | |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2025-08-04 |