| NPI | 1952933657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1803034) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M1803005) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |