| NPI | 1730530726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000341A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33900416A) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2026-01-30 |