| NPI | 1295910685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4145) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 3530) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2016-04-04 |