| NPI | 1508642745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 00001172) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 304556) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2026-03-24 |