| NPI | 1033224423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC0022) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LCSW-1454) |
| 106H00000X Marriage & Family Therapist (Licence: AZ LMFT0145) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2016-07-13 |