NPI | 1902687064 |
---|---|
Other Name | ABBY N/A N/A |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-23-288793) |
Enumeration Date | 2023-10-13 |
Last Update Date | 2024-07-25 |