NPI | 1811432438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 106S00000X Behavior Technician |
106S00000X Behavior Technician | |
Enumeration Date | 2017-01-05 |
Last Update Date | 2019-02-04 |