NPI | 1982315024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17292) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2022-12-09 |
Last Update Date | 2023-08-25 |