NPI | 1982021614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF 69274) |
Enumeration Date | 2014-03-19 |
Last Update Date | 2018-06-12 |