| NPI | 1194026294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 2012668) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 101YM0800X Counselor, Mental Health | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2019-07-11 |