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 |