| NPI | 1881842458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 595) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 3935) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |