| NPI | 1376731539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1204052) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR P1204052) |
| 101Y00000X Counselor (Licence: AR P1204052) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2014-10-13 |