| NPI | 1134730294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001463A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 88001567A) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2025-01-15 |