NPI | 1184928111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 2868) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-04-1507) |
Enumeration Date | 2011-01-05 |
Last Update Date | 2011-01-05 |