NPI | 1578829552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY27727) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-11-8478) |
Enumeration Date | 2012-04-04 |
Last Update Date | 2018-11-05 |