NPI | 1508580739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 9-20-13) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-000067) |
Enumeration Date | 2022-09-30 |
Last Update Date | 2022-09-30 |