NPI | 1558999771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002624) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701008991) |
Enumeration Date | 2020-04-01 |
Last Update Date | 2023-03-08 |