| NPI | 1588932719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 1181) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201332) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2018-09-19 |