| NPI | 1518537141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P210615) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M2105001) |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2021-06-27 |