| NPI | 1790373421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2024-03-21 |