NPI | 1659620300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 9495) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-10-7135) |
Enumeration Date | 2012-09-07 |
Last Update Date | 2024-11-08 |