| NPI | 1619113081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 11404) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 57259) |
| 106H00000X Marriage & Family Therapist (Licence: 0001082) | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2023-07-10 |