| NPI | 1831489533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34964) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-09-3564) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2024-04-06 |