NPI | 1629377031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 7936) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 780) |
Enumeration Date | 2011-03-24 |
Last Update Date | 2018-06-26 |