| NPI | 1669897740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-16979) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ LASAC-13348) |
| 101YM0800X Counselor Mental Health (Licence: AZ LAC-14508) | |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2017-11-10 |