| NPI | 1528560976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 200149697) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-26218) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2025-10-17 |