| NPI | 1336390673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1306053) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OK 5262) |
| 106H00000X Marriage & Family Therapist (Licence: AR M1306006) | |
| 106H00000X Marriage & Family Therapist (Licence: OK 1115) | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2025-02-19 |