NPI | 1437683059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-22439) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional (Licence: AZ LAC-18947) | |
Enumeration Date | 2017-04-20 |
Last Update Date | 2023-09-06 |