| NPI | 1871711242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 235) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 257) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-06-17 |