NPI | 1861114431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 103K00000X Behavior Analyst |
101YM0800X Counselor, Mental Health (Licence: FL MH24098) | |
Enumeration Date | 2022-09-12 |
Last Update Date | 2024-10-01 |