| NPI | 1760130371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 256516) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KY 244602) |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2022-03-13 |