| NPI | 1073026407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 33A990) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 33a990) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |