NPI | 1578981403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IA 105829) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NE 2018003232) |
Enumeration Date | 2014-03-28 |
Last Update Date | 2022-07-22 |