| NPI | 1154646834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 2003) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 661) |
| 106H00000X Marriage & Family Therapist (Licence: OK 813) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2022-08-23 |