NPI | 1033608104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1262) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-05-04 |
Last Update Date | 2021-09-07 |