| NPI | 1194574756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR A2007091) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR A2007007) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |