| NPI | 1063787620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 22346) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-01-0611) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2020-10-15 |