| NPI | 1063786655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 1271) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 1271) |
| 101YP2500X Counselor, Professional (Licence: TX 201477) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 201477) | |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2018-04-09 |