| NPI | 1952361263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 1390) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 265) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2017-01-31 |