| NPI | 1427375385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL 101Y00000X) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH11619) |
| 101YP2500X Counselor, Professional (Licence: FL MH11619) | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2024-01-14 |