| NPI | 1023203320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 15266) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: CA 53680) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2021-01-14 |