| NPI | 1124373584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 06525) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional (Licence: MO 2022004940) | |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2024-04-22 |