| NPI | 1598117590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-07-3777) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY29256) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2020-07-09 |