| NPI | 1841849882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY37005) |
| Additional Taxonomies | 103T00000X Psychologist |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2026-10-09 |