| NPI | 1033617782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15472) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LAMFT-5857T) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2023-05-28 |