NPI | 1255963864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA PLC10195) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2020-02-11 |
Last Update Date | 2025-06-14 |