| NPI | 1518285675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY19913) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: BCBA-D 1-00-0003) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |