| NPI | 1770117244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1484600922) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA R1484600922) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2023-12-22 |