| NPI | 1366984056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AR F1608007) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1511149) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |