| NPI | 1568481364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 0229) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 213) |
| 106H00000X Marriage & Family Therapist (Licence: OK 067) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |