| NPI | 1730675331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 4531) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2024-07-17 |