NPI | 1043598014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8661) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2011-07-25 |
Last Update Date | 2015-10-08 |