| NPI | 1659562908 |
|---|---|
| Former Name | DEBRA COPELAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 877) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 40241) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |