| NPI | 1346935590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07981-I) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 174400000X Specialist | |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2026-07-07 |