NPI | 1699177139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05580) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-13-14289) |
Enumeration Date | 2014-09-16 |
Last Update Date | 2014-09-16 |