| NPI | 1083735724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK LADC 296) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK lpc 756) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |