| NPI | 1568792547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 1077) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 5397) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 908) | |
| 101YM0800X Counselor, Mental Health (Licence: OK 1077) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2017-03-11 |