| NPI | 1265705123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY35580) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-11-4333) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2024-12-26 |