| NPI | 1417295312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY LPCC-KY-245479) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY LPCA KY-1506) |
| 101YP2500X Counselor, Professional (Licence: KY 245479) | |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2023-11-03 |