| NPI | 1962763318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 1142) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OK 1923) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2015-01-13 |