| NPI | 1902483993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR P2305020) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M2305003) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2023-06-13 |