| NPI | 1770825812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 116941) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2024-02-14 |