| NPI | 1518696327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 13556) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2023-06-02 |