| NPI | 1225546294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY35417) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-18-31242) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2025-08-07 |