NPI | 1689846941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-08-4584) |
Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
101YP2500X Counselor, Professional (Licence: 1-08-4584) | |
Enumeration Date | 2008-03-27 |
Last Update Date | 2014-11-25 |