| NPI | 1326103086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OK 388) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 206) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: OK 133) | |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2016-07-21 |