| NPI | 1427592328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 174366) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 168200) |
| 101YM0800X Counselor, Mental Health (Licence: KY 162919) | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2017-11-17 |