| NPI | 1831457845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29662) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-12-10224) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2019-05-07 |