| NPI | 1265642458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 934) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK under supervision) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-11-22 |