| NPI | 1912325275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014393) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 6317) |
| 101YP2500X Counselor, Professional (Licence: LA 7116) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2018-07-25 |