| NPI | 1427690163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR A1906076) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1906076) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2022-08-19 |