NPI | 1962782862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12854) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-17-24973) |
Enumeration Date | 2011-08-23 |
Last Update Date | 2018-04-02 |