NPI | 1184833956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2007008766) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2011023304) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2012-05-01 |