| NPI | 1295122877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY31738) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-15-18420) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2022-08-17 |