NPI | 1316273394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7487) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 622) |
103K00000X Behavior Analyst | |
Enumeration Date | 2009-10-26 |
Last Update Date | 2009-12-03 |