| NPI | 1255701470 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1607078)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1508112)  | 
| Enumeration Date | 2015-09-30 | 
| Last Update Date | 2020-10-28 |