| NPI | 1942451166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3845) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 716) |
| 164W00000X Licensed Practical Nurse (Licence: OK 37454) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2021-03-10 |