| NPI | 1730413543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 5996) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2016-11-04 |