| NPI | 1902386345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AR M2101022) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1805047) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2023-11-07 |