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