| NPI | 1144860321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1912149) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR p1912149) |
| 106H00000X Marriage & Family Therapist (Licence: AR m1912014) | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-02-07 |