NPI | 1508259458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-45993) |
Additional Taxonomies | 101Y00000X Counselor |
174400000X Specialist | |
Enumeration Date | 2015-03-16 |
Last Update Date | 2021-02-02 |