NPI | 1366924474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A16576) |
103TS0200X Psychologist, School | |
106S00000X Behavior Technician | |
Enumeration Date | 2018-09-05 |
Last Update Date | 2024-04-10 |