| NPI | 1306111083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-04-1883) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY26726) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2014-10-20 |