| NPI | 1760050348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C208137) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2022-01-06 |