| NPI | 1265782767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1408060) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: AR 00114996) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 327L) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2015-09-24 |