| NPI | 1992217806 |
|---|---|
| Former Name | RAZA-TRIMBACH SUBRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH14767) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 334180) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL 4773) | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |