| NPI | 1780137729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT - 0339) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC - 0689) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-0793) | |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |