| NPI | 1538224019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 47366) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 47366) |
| 103G00000X Clinical Neuropsychologist (Licence: CA 47366) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2012-04-20 |