| NPI | 1508831132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 831) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 2599) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2023-03-14 |