| NPI | 1588379994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 250190258) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2025-08-04 |