| NPI | 1265756597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22425) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY22425) |
| 103K00000X Behavior Analyst (Licence: CA PSY22425) | |
| 103T00000X Psychologist (Licence: CA PSY22425) | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2011-10-13 |