NPI | 1063146124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 175T00000X Peer Specialist |
171M00000X Case Manager/Care Coordinator (Licence: OK 317024) | |
Enumeration Date | 2022-07-14 |
Last Update Date | 2025-01-28 |