| NPI | 1396385118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY35330) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 03088) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2024-11-14 |