| NPI | 1104946045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 501688) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN C248) |
| 101YM0800X Counselor, Mental Health (Licence: IN 39000960A) | |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2007-07-08 |