NPI | 1518482520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004325) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-18-32474) |
103TS0200X Psychologist, School (Licence: GA 1881606) | |
103TS0200X Psychologist, School (Licence: NCSP65439) | |
Enumeration Date | 2017-08-10 |
Last Update Date | 2025-02-17 |