| NPI | 1912420738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-14466) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-14466) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LPC-14466) | |
| 101YM0800X Counselor, Mental Health (Licence: AZ LPC-14466) | |
| 221700000X Art Therapist (Licence: AZ LPC-14466) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-09-08 |