| NPI | 1629200712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC1900X Psychologist Counseling (Licence: CA PSY24777) | |
| Enumeration Date | 2009-08-22 |
| Last Update Date | 2016-08-25 |