| NPI | 1215252473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 12841) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC0700X Psychologist, Clinical (Licence: AZ 3956) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 32972) | |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2022-09-02 |