| NPI | 1669506416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5910) |
| 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 | 2023-01-11 |