| NPI | 1487883120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26547) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst (Licence: CA 1-17-26973) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2024-09-03 |