| NPI | 1518994474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 581) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 506) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2014-04-16 |