| NPI | 1558123679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 86900017A) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 80000059A) |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |