| NPI | 1942349105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P0607041) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR P0607041) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2016-04-06 |