| NPI | 1184722407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK LPC03858) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK LMFT00909) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-11-20 |