NPI | 1336379445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7910) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-04-1252) |
Enumeration Date | 2009-07-23 |
Last Update Date | 2009-07-23 |