| NPI | 1407821978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E280) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH E943900) |
| 101YM0800X Counselor, Mental Health (Licence: KY 103162) | |
| 101YP2500X Counselor, Professional (Licence: KY 1536) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2020-03-26 |