NPI | 1902586241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NY 3051798) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NY 3051798) |
103K00000X Behavior Analyst (Licence: NY 3051798) | |
Enumeration Date | 2023-07-21 |
Last Update Date | 2023-08-22 |