NPI | 1306203724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-16-23635) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-01-16 |
Last Update Date | 2018-10-03 |