NPI | 1215356886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-52330) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
106S00000X Behavior Technician | |
Enumeration Date | 2014-04-10 |
Last Update Date | 2021-10-05 |