| NPI | 1528399052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 880) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 880) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-05-19 |