| NPI | 1548694367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 30658) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1118920) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2022-01-03 |