| NPI | 1134401805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 26598) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-11-8560) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2022-08-30 |