| NPI | 1619345246 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1910129) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1210086) | 
| 101YM0800X Counselor, Mental Health (Licence: AR P1910129) | |
| 106H00000X Marriage & Family Therapist (Licence: AR A1303011) | |
| 106H00000X Marriage & Family Therapist (Licence: AR M1910011) | |
| Enumeration Date | 2015-09-14 | 
| Last Update Date | 2023-03-12 |