| NPI | 1568937597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2009077) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1808104) |
| 101YM0800X Counselor, Mental Health (Licence: AR A1808104) | |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2020-10-05 |