| NPI | 1013399476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK LPC 936) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 587) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |