NPI | 1861810707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-12-10449) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MA 8772) |
Enumeration Date | 2014-03-28 |
Last Update Date | 2014-03-28 |