NPI | 1083396717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1538551223) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2023-08-02 |
Last Update Date | 2023-12-01 |