| NPI | 1033121926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 844) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 266) |
| 106H00000X Marriage & Family Therapist (Licence: OK 340) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2012-12-10 |