NPI | 1679172985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16320) |
106S00000X Behavior Technician | |
Enumeration Date | 2020-10-19 |
Last Update Date | 2024-08-26 |