NPI | 1922794858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-56864) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 8762) |
103TS0200X Psychologist, School (Licence: CA 3613) | |
Enumeration Date | 2023-04-13 |
Last Update Date | 2024-11-08 |