| NPI | 1659790012 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1609125)  | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1302013)  | 
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-04-14 | 
| Last Update Date | 2016-09-21 |