NPI | 1538364336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA141) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MD 1-01-0645) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2021-08-25 |