| NPI | 1528142817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR P0601001) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M0601001) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-12-14 |