| NPI | 1093027468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC 11473) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LAMFT 10295) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |