NPI | 1912416108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003610A) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001652A) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2017-09-20 |
Last Update Date | 2022-11-16 |