| NPI | 1629216940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 16494) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA BCBA# 1-08-4657) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2015-08-27 |