| NPI | 1720735855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LAMFT-10816) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-20493) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |