| NPI | 1891278982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07007) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2023-01-19 |