| NPI | 1811502305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR A2003046) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A2003046) |
| 101YP2500X Counselor, Professional (Licence: AR A2003046) | |
| 225C00000X Rehabilitation Counselor (Licence: AR a2003046) | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2021-10-29 |