NPI | 1689289126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
106S00000X Behavior Technician | |
172V00000X Community Health Worker | |
Enumeration Date | 2020-09-11 |
Last Update Date | 2021-04-14 |