NPI | 1811314818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 103K00000X Behavior Analyst |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2014-03-27 |
Last Update Date | 2014-03-27 |