| NPI | 1669701686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 15010) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA BCBA 1-00-0238) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |