NPI | 1275617821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-07-3417) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001746A) |
101YM0800X Counselor, Mental Health (Licence: OR C2213) | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2014-03-07 |