| NPI | 1669701652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LCSW0331) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ MFT0266) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |