| NPI | 1346607082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AR E-15726) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AR P0909054) |
| 106H00000X Marriage & Family Therapist (Licence: AR M0909006) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2022-09-27 |