NPI | 1578033759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P129266) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2018-11-29 |
Last Update Date | 2024-07-01 |