NPI | 1023577517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA BACB416491) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-03-14 |
Last Update Date | 2020-11-24 |