| NPI | 1407272438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY16150) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY16150) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2020-10-14 |