| NPI | 1801927975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 607) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 607) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2009-02-17 |