| NPI | 1770194110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 28118) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-09-5518) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2025-11-04 |