| NPI | 1386940633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 12-09-50) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2023-07-03 |