NPI | 1306328448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHP-R-2754) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR ABA-B-10225021) |
106S00000X Behavior Technician | |
Enumeration Date | 2018-09-05 |
Last Update Date | 2024-11-08 |