NPI | 1780336172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: QMHS) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2022-01-26 |
Last Update Date | 2023-01-24 |