| NPI | 1053788877 |
|---|---|
| Former Name | CAMILLE JUDKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1907087) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1801002) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2019-07-09 |