| NPI | 1376862136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 4054-C) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 344L) |
| 104100000X Social Worker (Licence: AR 2656-M) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2022-09-15 |