NPI | 1922157833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 3122) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 793) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-07-08 |