NPI | 1285938373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8296) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
101YP2500X Counselor, Professional (Licence: MD LGP6207) | |
103K00000X Behavior Analyst | |
Enumeration Date | 2011-01-04 |
Last Update Date | 2018-11-28 |