NPI | 1851576789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1216) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-92952) |
Enumeration Date | 2008-01-09 |
Last Update Date | 2019-07-29 |