NPI | 1336674332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001516) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0107204) |
106S00000X Behavior Technician | |
Enumeration Date | 2017-04-27 |
Last Update Date | 2020-10-27 |