| NPI | 1619504925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 3897) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 3897) |
| 103K00000X Behavior Analyst | |
| 103TS0200X Psychologist, School (Licence: CA 3897) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2023-06-13 |