| NPI | 1629478946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR A1408111) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR F1409010) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2015-05-03 |