| NPI | 1639511827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR A1212105) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR A1303012) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |