| NPI | 1104465293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P2304005) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR AR1912189) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2023-04-11 |