| NPI | 1083148704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 35915) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-19-35746) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2025-07-05 |