| NPI | 1306171830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-05-2114) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 22059) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2021-08-12 |