| NPI | 1609362490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 248391) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 242173) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-01-21 |