| NPI | 1578051215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1909119) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2020-03-11 |