| NPI | 1619209285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 165078) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 128628) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2016-09-27 |