NPI | 1134472863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR STB-T-10130007) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OR STB-T-10130007) |
101YM0800X Counselor, Mental Health (Licence: OR STB-T-10130007) | |
103K00000X Behavior Analyst (Licence: OR STB-T-100130007) | |
Enumeration Date | 2012-10-18 |
Last Update Date | 2012-10-18 |