| NPI | 1568193571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1465280422) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2025-12-09 |