NPI | 1770021321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3027-MH-B1) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-02-03 |
Last Update Date | 2022-11-07 |