NPI | 1942679907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11250) |
Enumeration Date | 2015-09-21 |
Last Update Date | 2020-04-13 |