NPI | 1932568177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001235) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP11134) |
101YP2500X Counselor, Professional (Licence: MD LGP11134) | |
103K00000X Behavior Analyst (Licence: 1-15-20644) | |
Enumeration Date | 2016-02-16 |
Last Update Date | 2021-03-10 |