NPI | 1043891617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 15684-RAC) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-04-15 |
Last Update Date | 2022-05-24 |