NPI | 1821078106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-01-0625) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2005) |
Enumeration Date | 2006-01-20 |
Last Update Date | 2012-10-31 |