| NPI | 1639549017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 7553-R) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R6862) | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2025-03-05 |