| NPI | 1538736228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 255733) | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2022-06-01 |