| NPI | 1235147802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 7275) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: AL 2051 LPC) | |
| 101Y00000X Counselor (Licence: OK 7275) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 2051) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 110 MLAP) | |
| 101YM0800X Counselor, Mental Health (Licence: OK 7275) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-09-16 |