| NPI | 1548509623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 164507) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2023-08-03 |