| NPI | 1114510609 |
|---|---|
| Former Name | RUNA KHANOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 4598) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00310700) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00681200) | |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2024-07-22 |