NPI | 1215235593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-12-10481) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NE 427) |
Enumeration Date | 2011-03-10 |
Last Update Date | 2015-09-21 |