NPI | 1427338532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14620) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2011-08-19 |
Last Update Date | 2023-12-29 |