| NPI | 1356959712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35600) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-20-40642) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2025-02-26 |