NPI | 1700365012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018056) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-08-08 |
Last Update Date | 2020-02-20 |