| NPI | 1619371507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 101YA0400X) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV 103K000000X) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |