NPI | 1871842419 |
---|---|
Former Name | CHRISTIN MCDONALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008491) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133003600) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2024-07-26 |