| NPI | 1285823518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN A2123R) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 39001095A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000307A) | |
| 171100000X Acupuncturist (Licence: IN 80000018A) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |