| NPI | 1801193735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 259885) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 262790) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2022-02-08 |