NPI | 1396443552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: TX 40035) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1042) |
Enumeration Date | 2023-02-17 |
Last Update Date | 2024-06-04 |