| NPI | 1629035381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR p9310028) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR m9710005) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |