NPI | 1902461353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10610-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 5271-226) |
103K00000X Behavior Analyst | |
Enumeration Date | 2019-05-01 |
Last Update Date | 2023-09-13 |