| 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 |