| NPI | 1669118238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 20925-P) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2024-05-31 |