| NPI | 1285151241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 512) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 512) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2021-03-26 |