NPI | 1609222892 |
---|---|
Former Name | EMILY HENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019291) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH002881) |
Enumeration Date | 2016-05-06 |
Last Update Date | 2021-10-07 |