| NPI | 1679034813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: CA 240139284) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2025-08-08 |