| NPI | 1528127388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 895) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2007002866) |
| 101YP2500X Counselor, Professional (Licence: MO 2006029726) | |
| 101YP2500X Counselor, Professional (Licence: OK 4025) | |
| 106H00000X Marriage & Family Therapist (Licence: TN 798) | |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2012-06-27 |