| NPI | 1558665208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 5464TLF-1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV 5061AGC-1) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |