| NPI | 1588716682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: AZ 3320482) |
| Additional Taxonomies | 174H00000X Health Educator |
| 373H00000X Day Training/Habilitation Specialist | |
| 171M00000X Case Manager/Care Coordinator | |
| 101Y00000X Counselor (Licence: AZ LAC-18459) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LASAC-13294) | |
| 101YS0200X Counselor, School (Licence: AZ 3320482) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2024-07-22 |