| NPI | 1093596900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NC BCAB458532) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NC 198405) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 203201) | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2026-07-07 |