NPI | 1578554267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH5024) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2025-02-17 |