| NPI | 1407408628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 3551) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-10-7879) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |