NPI | 1487987830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL SS587) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103K00000X Behavior Analyst (Licence: FL 1-04-1704) | |
Enumeration Date | 2009-09-16 |
Last Update Date | 2009-09-16 |