| NPI | 1700470051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 127811) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 372600000X Adult Companion | |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2026-04-16 |