| NPI | 1487993812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-04-1578) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 10740) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |