| NPI | 1205292042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1512141) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M1512013) |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2016-02-01 |