NPI | 1275070096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12332) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2017-01-31 |
Last Update Date | 2024-11-05 |