NPI | 1962851188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH23260) |
103K00000X Behavior Analyst (Licence: FL MH23260) | |
104100000X Social Worker | |
106S00000X Behavior Technician | |
Enumeration Date | 2016-06-08 |
Last Update Date | 2024-09-26 |