NPI | 1063455863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 569) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 1010) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2009-01-30 |