NPI | 1013209279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 264-140) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 956-124) |
Enumeration Date | 2011-05-06 |
Last Update Date | 2021-01-21 |