NPI | 1669847968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2003031) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M2003004) |
Enumeration Date | 2015-12-11 |
Last Update Date | 2023-10-04 |