NPI | 1215560230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 14966) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-02-18 |
Last Update Date | 2025-03-04 |