| NPI | 1134679822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30163) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-15-17972) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2019-02-16 |