| NPI | 1194574756 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P24110001) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A2007091) | 
| 106H00000X Marriage & Family Therapist (Licence: AR F2007007) | |
| 106H00000X Marriage & Family Therapist (Licence: AR M24110001) | |
| Enumeration Date | 2024-05-16 | 
| Last Update Date | 2025-01-15 |