| NPI | 1770720500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1306063) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR A0909007) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2019-02-27 |