| NPI | 1396888657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 2982) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 1303) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 3857) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-03-10 |