| NPI | 1730655267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1207079) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR M1207009) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |