| NPI | 1538563416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR P2206009) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR F1409014) |
| 106H00000X Marriage & Family Therapist (Licence: AR M1707024) | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2022-06-29 |