NPI | 1679299390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
106S00000X Behavior Technician | |
Enumeration Date | 2022-10-14 |
Last Update Date | 2025-05-02 |