NPI | 1639442502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY26473) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-07-3373) |
Enumeration Date | 2012-02-22 |
Last Update Date | 2024-02-06 |