| NPI | 1528342037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LAMFT-10864) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 246-228) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16478-130) | |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2024-03-15 |