NPI | 1386080232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2013009286) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2014029352) |
103T00000X Psychologist (Licence: AZ PSY-005765) | |
103T00000X Psychologist (Licence: CO 0006316) | |
103T00000X Psychologist (Licence: TX 39983) | |
Enumeration Date | 2013-05-20 |
Last Update Date | 2024-12-11 |