| NPI | 1851723084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1403039) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1307075) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 337L) | |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.008141) | |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2016-05-20 |