NPI | 1629200712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
Additional Taxonomies | 103K00000X Behavior Analyst |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC1900X Psychologist, Counseling (Licence: CA PSY24777) | |
Enumeration Date | 2009-08-22 |
Last Update Date | 2016-08-25 |