NPI | 1770290728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-75751) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-10-31 |
Last Update Date | 2024-09-17 |