| NPI | 1619504396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR AR-9108-C) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AR A-462) |
| 1041C0700X Social Worker Clinical (Licence: AR 9108-C) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-06-06 |