NPI | 1033566724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16447) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2016-05-23 |
Last Update Date | 2022-02-25 |