| NPI | 1447743471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 1383) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 7558) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-03-04 |