| NPI | 1184083297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OK D083459367) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2023-06-13 |