| NPI | 1952857039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 6168) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 1188) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2021-08-17 |