NPI | 1285952945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 44SL05205200) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SL05205200) |
Enumeration Date | 2010-05-05 |
Last Update Date | 2010-09-01 |