NPI | 1255876918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 108106) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2017-01-04 |
Last Update Date | 2018-11-07 |