| NPI | 1518260447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-13497) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LAMFT-10248) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |