| NPI | 1780055921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 86000213A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33000970A) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |