| NPI | 1659736296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 289467) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 275344) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2024-02-16 |