| NPI | 1023577517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA BACB416491) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2020-11-24 |