NPI | 1740944990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-81570) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW19095) |
101Y00000X Counselor | |
Enumeration Date | 2021-10-25 |
Last Update Date | 2025-09-27 |