NPI | 1437498912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 3427) |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA 3427) | |
103TS0200X Psychologist, School (Licence: CA 3427) | |
Enumeration Date | 2013-02-04 |
Last Update Date | 2016-09-15 |