| NPI | 1386157212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07466-C) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-17-42739) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2023-11-22 |