| NPI | 1831460948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-04-2097) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY21533) |
| 103T00000X Psychologist (Licence: LA 995) | |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2019-07-02 |