| NPI | 1831767227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY 294322) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2025-09-03 |