| NPI | 1518672229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MS P-1005) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS 0423) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2025-08-26 |