| NPI | 1154879799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18055) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-18055) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LPC-18055) | |
| 106H00000X Marriage & Family Therapist (Licence: AZ LPC-18055) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2024-08-15 |