| NPI | 1215001094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 1331) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 53771) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-05-11 |