| NPI | 1174835060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 782) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OK 3047) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2021-03-10 |