NPI | 1316459647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-20-44910) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-10-26 |
Last Update Date | 2020-10-21 |