| NPI | 1003201187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA LEP3560) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 103K00000X Behavior Analyst (Licence: BCBA 1-14-9575) | |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2015-04-05 |