| NPI | 1679769871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A0707051) |
| 101YP2500X Counselor, Professional (Licence: AR P0909058) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2016-07-07 |