| NPI | 1407967797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P9812039) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR P988112039) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-01-27 |