| NPI | 1376932962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA BACB267610) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 34650) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2024-11-15 |