| NPI | 1023519717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P2101136) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1802014) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2021-03-10 |