| NPI | 1982943221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1503017) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AR A1301006) |
| 106H00000X Marriage & Family Therapist (Licence: AR A1301007) | |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2015-05-06 |