NPI | 1710439211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: NV NV20121010903) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NV NV20121010903) |
106E00000X Assistant Behavior Analyst (Licence: NV NV20121010903) | |
Enumeration Date | 2016-10-31 |
Last Update Date | 2016-11-18 |