| NPI | 1972752558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 00844) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 918) | |
| 101YP2500X Counselor, Professional (Licence: KS 03521) | |
| 101YP2500X Counselor, Professional (Licence: OK 4602) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2023-11-01 |