| NPI | 1558665729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 1383) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF65073) |
| 101YM0800X Counselor, Mental Health (Licence: OK 1383) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 91428) | |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2022-08-31 |