| NPI | 1215534946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-19626) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ LISAC-155232) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ LASAC-15240) | |
| 101YM0800X Counselor Mental Health (Licence: AZ LAC-16287) | |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2021-10-16 |