| NPI | 1174287502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci41730224) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2024-07-31 |