| NPI | 1396815874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 2809) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 797) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 146) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-04-28 |