| NPI | 1093662322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA LEP4734) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 251B00000X Case Management | |
| Enumeration Date | 2026-03-16 |
| Last Update Date | 2026-03-16 |