| NPI | 1780301390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 459L) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 12637-M) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2024-06-21 |