| NPI | 1205057924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OK r0043285) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK 22560) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2012-07-31 |