| NPI | 1538767652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR A2009136) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR F2009008) |
| 101YP2500X Counselor Professional (Licence: AR P2305013) | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2023-05-26 |