NPI | 1578987467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-14-10336) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TN 7273038) |
Enumeration Date | 2014-02-12 |
Last Update Date | 2015-07-31 |