| NPI | 1104272616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1810135) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR F1411018) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2018-10-17 |