| NPI | 1396183091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1508084) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1305056) |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2023-07-24 |