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 |