| NPI | 1629478946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1808107) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M1807017) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2024-05-17 |