| NPI | 1376775775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 2913) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 594) |
| 101YM0800X Counselor, Mental Health (Licence: OK 2913) | |
| 106H00000X Marriage & Family Therapist (Licence: OK 2913) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2012-10-24 |