| NPI | 1184799660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR A0504030) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A0504030) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2009-02-02 |