| 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 |