| NPI | 1063929818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34232) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-17-28804) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2024-09-10 |