| NPI | 1730154626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR P0803031) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A0504026) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2008-12-17 |