| NPI | 1306176722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1510114) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 987) |
| 106H00000X Marriage & Family Therapist (Licence: AR M1510008) | |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2015-10-27 |