| NPI | 1780101162 |
|---|---|
| Former Name | REGINA ARNOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 86000231A) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |