NPI | 1003358706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 0005) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 0005) |
Enumeration Date | 2016-11-11 |
Last Update Date | 2016-11-11 |