NPI | 1477709939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 6374) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 6374) |
101Y00000X Counselor (Licence: CO 6374) | |
103K00000X Behavior Analyst (Licence: CO 6374) | |
Enumeration Date | 2008-08-14 |
Last Update Date | 2012-08-15 |