| NPI | 1013073352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK LPC 504) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK LADC 425) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ICADC 3978) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2014-07-01 |