| NPI | 1740665686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 6411) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 1295) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2019-03-14 |