| NPI | 1619251360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 2027) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |