NPI | 1396346664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA APC008555) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA RBT-20-142134) |
Enumeration Date | 2020-11-04 |
Last Update Date | 2023-05-24 |