| NPI | 1124346317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 1033) |
| 1041C0700X Social Worker, Clinical (Licence: OK 3963) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2016-07-12 |