NPI | 1609064831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 167707) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 128847) |
Enumeration Date | 2007-10-12 |
Last Update Date | 2024-03-20 |