| NPI | 1801938410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60468) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 1041C0700X Social Worker, Clinical (Licence: OK 3727) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 609) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2015-03-24 |