NPI | 1043656663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01226) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2013-05-22 |
Last Update Date | 2022-06-02 |