| NPI | 1275428229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA LEP4577) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-14-16777) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-10-22 |