| NPI | 1619731965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA t24005) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-10-08 |