| NPI | 1477089720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OK 261QM0801X) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2022-05-04 |