| NPI | 1790141422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 16003) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 1300) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2025-03-18 |