NPI | 1063700094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: TX 00118649) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2011-07-12 |
Last Update Date | 2023-02-23 |