| NPI | 1649861170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 101yA0400x) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2025-04-08 |