| NPI | 1467666057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR A1906069) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA 1899) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2022-03-08 |