| NPI | 1376887851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-23906) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 16438) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2026-01-12 |