NPI | 1912289448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-11-8937) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2011-09-10 |
Last Update Date | 2011-09-10 |