| NPI | 1891173456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2020-11-12 |