NPI | 1730603135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-20-41690) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-07-28 |
Last Update Date | 2023-12-29 |