NPI | 1831768928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34009449A) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001676A) |
1041C0700X Social Worker, Clinical (Licence: IN 99104647A) | |
Enumeration Date | 2021-06-22 |
Last Update Date | 2022-06-15 |