NPI | 1205177896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180012409) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH22901) |
103K00000X Behavior Analyst | |
Enumeration Date | 2013-03-07 |
Last Update Date | 2024-05-16 |