| NPI | 1497360895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 17315) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 17315) |
| 101YM0800X Counselor, Mental Health (Licence: AZ 17315) | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |