| NPI | 1083141956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSB94027285) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-15-17924) |
| 172V00000X Community Health Worker (Licence: CA PSB94027285) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2023-07-17 |