NPI | 1528556594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
103K00000X Behavior Analyst | |
Enumeration Date | 2018-04-25 |
Last Update Date | 2020-09-22 |