| NPI | 1528412269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1801007) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1602017) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2018-03-17 |