| NPI | 1831431659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 101034) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KY 1129) |
| 101YP2500X Counselor Professional (Licence: KY KY-1160) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2025-03-31 |