| NPI | 1336576495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 5008) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180-009813) |
| 101YP2500X Counselor, Professional (Licence: FL MH20338) | |
| 101YP2500X Counselor, Professional (Licence: IL 180009813) | |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2025-11-05 |