| NPI | 1710329651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-M1305171253) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2023-10-02 |