NPI | 1851529416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3662) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 1095100) |
Enumeration Date | 2009-06-22 |
Last Update Date | 2014-06-25 |