NPI | 1699250712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: DE 1-22-58600) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106S00000X Behavior Technician (Licence: DE RBT-18-49314) | |
Enumeration Date | 2018-09-25 |
Last Update Date | 2025-10-14 |