| NPI | 1063146124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK 317024) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2024-09-19 |