NPI | 1063787620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 22346) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-01-0611) |
Enumeration Date | 2012-03-15 |
Last Update Date | 2020-10-15 |