| NPI | 1255693487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH12542) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL IMH9394) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2022-07-21 |