| NPI | 1639411705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AR 6544M) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR A311) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-28 |