| NPI | 1679908842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1611167) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1309112) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2016-11-30 |