| NPI | 1609121201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28857) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-09-5676) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2024-02-27 |