| NPI | 1942700190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 278254) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KY 276893) |
| 101YM0800X Counselor Mental Health (Licence: KY 246250) | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2022-09-29 |