| NPI | 1568541548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003834A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000996A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 1816) | |
| 101YM0800X Counselor, Mental Health (Licence: KY 1816) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-07-21 |