| NPI | 1306909759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1710368) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA mfc45155) |
| 106H00000X Marriage & Family Therapist (Licence: AR m1303002) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-02-13 |