| NPI | 1750686002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 6003) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK 21330) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2024-03-12 |