| NPI | 1699985416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OK 4300) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OK LADC 705) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-05-08 |