| NPI | 1851687867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4535) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 4535) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2021044898) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2022-06-27 |