| NPI | 1659457588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 966) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 0860) |
| 106H00000X Marriage & Family Therapist (Licence: OK 454) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |