| NPI | 1023298874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4747) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 4747) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2014-01-06 |