NPI | 1184047201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-13-14705) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA LEP4175) |
Enumeration Date | 2014-01-24 |
Last Update Date | 2022-06-28 |