| NPI | 1629015706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 177) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004955) |
| 106H00000X Marriage & Family Therapist (Licence: OK 411) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-10-24 |