NPI | 1508116658 |
---|---|
Former Name | KATIE POOLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009055) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2012-09-17 |
Last Update Date | 2022-12-08 |