NPI | 1396823308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1307) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 737) |
106H00000X Marriage & Family Therapist (Licence: OK 013) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2025-09-11 |