| NPI | 1447490933 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 740)  | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 740)  | 
| Enumeration Date | 2009-02-24 | 
| Last Update Date | 2009-02-24 |