NPI | 1235278995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-1785) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2007-02-06 |
Last Update Date | 2016-03-29 |