| NPI | 1710312947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 1249) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 205560) |
| 171W00000X Contractor | |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2025-02-11 |