| NPI | 1639438369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 2157) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 205033) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35002261A) | |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006930) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2024-01-28 |