| NPI | 1124652334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1591) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: LA 1591) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2024-12-19 |