NPI | 1023403920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MH12394) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12394) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2022-03-26 |