| NPI | 1477566800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK LPC1171) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK LMFT702) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-09-14 |