| NPI | 1124230206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 1335) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS LAC 1068) |
| 106H00000X Marriage & Family Therapist (Licence: KS 640) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-09-25 |