| NPI | 1457401028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 1045) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 183) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2013-06-07 |