| NPI | 1992947352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 3995) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 3995) |
| 101YP1600X Counselor, Pastoral (Licence: OK 3995) | |
| 101YP2500X Counselor, Professional (Licence: OK 3995) | |
| 103K00000X Behavior Analyst (Licence: OK 3995) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2010-07-27 |