| NPI | 1538400585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 33341) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-12-12538) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2024-02-02 |