NPI | 1033694062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 17273) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-66377) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2024-02-14 |