NPI | 1538605738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 07027) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-01-11 |
Last Update Date | 2023-10-03 |