| NPI | 1669408712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P0405018) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M0408002) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2016-02-04 |