| NPI | 1851484836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-10276) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-10276) |
| 106H00000X Marriage & Family Therapist (Licence: AZ LPC-10276) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LPC-10276) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-11-27 |