| NPI | 1902220668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR P1405046) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M1405004) |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2018-06-25 |