| NPI | 1831678069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 266373) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health (Licence: KY 266373) | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2025-05-12 |