| NPI | 1306375407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P2011101) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1801005) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-07-21 |