NPI | 1578958500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 18071) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2015-04-07 |
Last Update Date | 2024-06-03 |