| NPI | 1104562859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-22-208623) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-02-20 |