| NPI | 1801687736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY CSW00001102) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 303186) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2026-02-17 |