| NPI | 1093073702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 6297LPC) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106H00000X Marriage & Family Therapist (Licence: OK 1151LMFT) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2018-12-31 |