| NPI | 1508497165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 165240) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 274983) |
| 225C00000X Rehabilitation Counselor (Licence: KY 564045) | |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2022-06-20 |