| NPI | 1649484908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR C-005) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 005-C) |
| 101YM0800X Counselor, Mental Health (Licence: AR 005-C) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2018-09-26 |