| NPI | 1538609847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 18863) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1390) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2022-12-07 |