NPI | 1073915849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P2208018) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR A1409008) |
101Y00000X Counselor (Licence: AR A1409122) | |
Enumeration Date | 2014-09-23 |
Last Update Date | 2022-11-28 |