| NPI | 1588110118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 15464) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 141019) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 15161) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-11-27 |