NPI | 1720828809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School |
Additional Taxonomies | 101YS0200X Counselor, School |
103K00000X Behavior Analyst (Licence: CA 1-20-42716) | |
Enumeration Date | 2024-05-28 |
Last Update Date | 2024-05-28 |