| NPI | 1902296387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009026) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 23238) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000115A) | |
| 101YM0800X Counselor, Mental Health (Licence: IN 180009026) | |
| 101YM0800X Counselor, Mental Health (Licence: IN 39002410A) | |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2024-11-15 |