| NPI | 1366636219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27251) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 200401114) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2021-02-26 |