NPI | 1053847988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 13239) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NE 1-20-43591) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2025-04-10 |