NPI | 1235684903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MH13905) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH13905) |
Enumeration Date | 2016-08-23 |
Last Update Date | 2022-03-17 |