| NPI | 1447303482 |
|---|---|
| Former Name | JACQUELYN BONITA ARRINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC1193) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA ICADC 15184) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |