NPI | 1356959712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35600) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-20-40642) |
Enumeration Date | 2020-07-21 |
Last Update Date | 2025-01-02 |