| NPI | 1275859142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 1222) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 6332) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2020-02-03 |