NPI | 1982012746 |
---|---|
Former Name | JONNA L HALPHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0004347) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-14-9703) |
Enumeration Date | 2014-07-24 |
Last Update Date | 2019-06-19 |