NPI | 1972953495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH-6700) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2016-06-15 |
Last Update Date | 2024-10-02 |