NPI | 1326679457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23102) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH23102) |
103K00000X Behavior Analyst | |
106S00000X Behavior Technician (Licence: FL RBT) | |
Enumeration Date | 2020-01-28 |
Last Update Date | 2024-01-19 |