NPI | 1003663444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 5383-57) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
103K00000X Behavior Analyst | |
Enumeration Date | 2024-05-03 |
Last Update Date | 2025-07-23 |