NPI | 1295244051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-18-34086) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-09-25 |
Last Update Date | 2022-10-17 |