| NPI | 1750790259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1610165) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M1705016) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2024-06-18 |