| NPI | 1164891404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000928A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 33005040A) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |