NPI | 1073885034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 28666) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-08-4103) |
Enumeration Date | 2012-02-06 |
Last Update Date | 2024-10-17 |