NPI | 1225513021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7316) |
Enumeration Date | 2018-09-27 |
Last Update Date | 2024-01-12 |