NPI | 1114227907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CHW1-5416) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2010-10-26 |
Last Update Date | 2024-10-09 |