| NPI | 1942729397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1709350) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M1709029) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2022-07-21 |