| NPI | 1346368339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P0611065) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR P0611067) |
| 101Y00000X Counselor (Licence: AR P0611065) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2021-01-05 |