| NPI | 1740553593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NM 120815521) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2024-08-13 |