| 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 |