| NPI | 1285672212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC-11773) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-10730) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-11773) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2025-10-26 |