| NPI | 1073885034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 28666) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-08-4103) |
| 103T00000X Psychologist (Licence: CA 28666) | |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2025-03-24 |