| NPI | 1740767128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 15262) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ 15262) |
| 101YM0800X Counselor, Mental Health (Licence: AZ 15262) | |
| 101YP2500X Counselor, Professional (Licence: AZ 15262) | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2023-05-08 |