NPI | 1295061182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OR 5065) |
Additional Taxonomies | 103K00000X Behavior Analyst |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 5065) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: OR 5065) | |
Enumeration Date | 2009-10-27 |
Last Update Date | 2024-11-27 |