NPI | 1518435759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 243847) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 243847) |
101YM0800X Counselor, Mental Health (Licence: KY 243847) | |
Enumeration Date | 2018-11-06 |
Last Update Date | 2019-04-30 |