| NPI | 1982986329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 1091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 5119) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2017-10-11 |