| NPI | 1841616364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P2004001) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1803032) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2020-06-03 |