| NPI | 1740763937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001626A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161465) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 277277) | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2025-09-24 |