NPI | 1265579718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 163) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 5919) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2019-12-18 |