NPI | 1336461573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-13319) |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
385H00000X Respite Care | |
324500000X Substance Abuse Rehabilitation Facility | |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
101YM0800X Counselor, Mental Health | |
253Z00000X In Home Supportive Care | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2010-02-15 |
Last Update Date | 2025-07-24 |