| NPI | 1164981288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 160049502) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-11-8591) |
| 103T00000X Psychologist (Licence: CA 3064) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |