| NPI | 1063778116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-22980) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: AZ LAC-20242) | |
| 101YM0800X Counselor, Mental Health (Licence: AZ LMSW-19977) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2024-06-17 |