| NPI | 1477705218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4354) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15681-132) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 649) | |
| 101YP2500X Counselor, Professional (Licence: FL MH13900) | |
| 101YP2500X Counselor, Professional (Licence: WI 4869-125) | |
| 101YP2500X Counselor, Professional (Licence: OK 4773) | |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2023-10-18 |