| NPI | 1114172152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY22284) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-03-1092) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2012-02-15 |