| NPI | 1003873985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AR M9804022) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AR 9301002) |
| 103TS0200X Psychologist School (Licence: AR 78-13E) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |