| NPI | 1073869632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY27313) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-13-13509) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2024-11-21 |