NPI | 1467726976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 1-12-1018) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 5171-125) |
Enumeration Date | 2012-03-01 |
Last Update Date | 2025-01-28 |