| NPI | 1790353423 |
|---|---|
| Former Name | SOPHIA R BINKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001728A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39005300A) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2025-02-14 |