NPI | 1033618079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37pc00918900) |
103K00000X Behavior Analyst | |
Enumeration Date | 2018-02-05 |
Last Update Date | 2024-02-23 |