| NPI | 1932543188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000590A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN CIV-1536) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN ICAADC-1536) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |