| NPI | 1346949658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001794A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33011060A) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2025-01-14 |