| NPI | 1629098454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 3303) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OK 3303) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OK 69) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-12-11 |