| NPI | 1447617113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 241828) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 165042) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 164978) | |
| 101YP2500X Counselor, Professional (Licence: KY 164978) | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2018-08-15 |