| NPI | 1215410840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 102X00000X Poetry Therapist |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 172A00000X Driver (Licence: OK S083566551) | |
| 174H00000X Health Educator | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |