| NPI | 1134282353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 754) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OK 2272) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-11-01 |