NPI | 1235481474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 254879892) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 254879892) |
103K00000X Behavior Analyst (Licence: NY 254879892) | |
Enumeration Date | 2012-10-12 |
Last Update Date | 2012-10-12 |