| NPI | 1225335821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001712A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28168211A) |
| 101YM0800X Counselor, Mental Health (Licence: IN 88001890A) | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2023-11-29 |