NPI | 1588344311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014938) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 17803913) |
106S00000X Behavior Technician | |
Enumeration Date | 2023-07-18 |
Last Update Date | 2024-08-19 |