| NPI | 1558832410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1612199) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M1706022) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |