NPI | 1972911295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 31687) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-11-8657) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-07-30 |
Last Update Date | 2020-11-15 |