NPI | 1326300393 |
---|---|
Former Name | CAROLINE JANE WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY25564) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-14-15842) |
Enumeration Date | 2012-06-14 |
Last Update Date | 2016-11-29 |