| NPI | 1164991022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 941) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 2911) |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2021-09-19 |