| NPI | 1730889718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34011070A) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN 87900063A) |
| 101YP2500X Counselor Professional (Licence: IN 33010370A) | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-08-21 |