| NPI | 1316692692 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 171M00000X Case Manager/Care Coordinator | |
| 246RM2200X Technician, Pathology, Medical Laboratory | |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: IN 60512) | |
| 251B00000X Case Management | |
| Enumeration Date | 2022-02-15 | 
| Last Update Date | 2022-03-28 |