NPI | 1447925458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001273A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 87001273A) |
Enumeration Date | 2021-08-11 |
Last Update Date | 2021-08-11 |