NPI | 1033421201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-11-8867) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008850) |
235Z00000X Speech-Language Pathologist, (Licence: NY 018033) | |
Enumeration Date | 2010-07-05 |
Last Update Date | 2023-10-11 |