| NPI | 1285255042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-117232) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2024-06-17 |