NPI | 1104435064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 1215462) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-07-27 |
Last Update Date | 2022-09-12 |