| NPI | 1306206479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC 20837) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2018-11-15 |