| NPI | 1194175570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P2001150) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1712329) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2020-01-06 |