| NPI | 1548386584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P0512072) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M0512010) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |