NPI | 1346474038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY25243) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY25243) | |
Enumeration Date | 2009-05-08 |
Last Update Date | 2019-02-25 |