| NPI | 1780239715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 100003AN) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2024-08-12 |