| NPI | 1255668455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY20550) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA PSY20550) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2019-11-27 |