| NPI | 1417473521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OK 318512) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2025-05-27 |