NPI | 1124385216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-04-1576) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS10562) |
Enumeration Date | 2012-04-13 |
Last Update Date | 2012-04-13 |