| NPI | 1386296101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY32990) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY32990) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-04-29 |