NPI | 1982785184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT 0261) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC 0733) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-03-26 |