| NPI | 1104199124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1412105) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR P1412105) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2021-04-27 |