| NPI | 1205249976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P2002017) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1807097) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2020-02-27 |