NPI | 1083395685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00627400) |
Enumeration Date | 2023-07-26 |
Last Update Date | 2024-05-09 |