NPI | 1952673931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-04-1563) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 28358) |
Enumeration Date | 2012-02-06 |
Last Update Date | 2017-08-01 |