NPI | 1902186620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-36308) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
222Q00000X Developmental Therapist | |
Enumeration Date | 2011-08-25 |
Last Update Date | 2024-09-24 |