| NPI | 1346973120 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN TII-5053) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN MATS-5154) | 
| Enumeration Date | 2022-07-08 | 
| Last Update Date | 2022-07-28 |