NPI | 1598053738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BACB 1-03-1051) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 2744) |
Enumeration Date | 2011-07-20 |
Last Update Date | 2011-07-20 |