| NPI | 1790585263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 86000438A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 99129585A) |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-03-14 |