| NPI | 1114491537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LCSW-22881) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LIAC-155347) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2025-04-09 |