| NPI | 1265558274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-17-25313) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 22812) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-07-21 |