| NPI | 1053692046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY19282) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-03-1463) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2012-06-13 |