| NPI | 1578829552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY27727) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-11-8478) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2018-11-05 |