| NPI | 1639497423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005995A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000057A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 34005995A) | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2023-09-26 |