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 |