| NPI | 1053857490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-15-18326) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA LEP3701) |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-13 |