| NPI | 1467246983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 01973-TS) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 09286) |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |