| NPI | 1568739118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 1169) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 7088A) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2017-04-05 |