| NPI | 1578697132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-36278) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY25017) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-06-22 |