NPI | 1679039945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
106S00000X Behavior Technician | |
Enumeration Date | 2019-02-12 |
Last Update Date | 2023-09-11 |