NPI | 1326015314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 863) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 157) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2018-11-19 |