| NPI | 1194926675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK LPC 1585) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK LPC 1585) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK LADC 478) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2010-10-21 |