NPI | 1598107179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 5323) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12212) |
101YM0800X Counselor, Mental Health (Licence: OK 5323) | |
Enumeration Date | 2013-07-23 |
Last Update Date | 2015-10-22 |