| NPI | 1164882122 |
|---|---|
| Former Name | SANDHYA NAGABHUSHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC LPC00042) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC 14895) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2021-03-16 |