NPI | 1558426742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK LADC 507) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK LMFT 318) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2007-07-08 |