| NPI | 1811387798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4974) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 408) |
| 1041C0700X Social Worker, Clinical (Licence: LA 5475) | |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2023-09-22 |