| NPI | 1336719277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-1986) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-1986) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-1187) | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-05-21 |