NPI | 1639423791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0164321) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 103K00000X) |
Enumeration Date | 2012-10-28 |
Last Update Date | 2014-02-12 |