NPI | 1134713134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 11815) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-02-22 |
Last Update Date | 2021-05-12 |