| NPI | 1831446509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH1822) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2024-06-05 |