| NPI | 1831384833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2535-C) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 0252L) |
| 101YM0800X Counselor, Mental Health (Licence: AR 2535-C) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2011-04-19 |