| NPI | 1669506416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 05910) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 00815) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OK 1028) | |
| 101YP2500X Counselor Professional (Licence: KS 03353) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-08-05 |