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 |