| NPI | 1487108395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN C II- 1961) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN MATS- #128) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |