| NPI | 1861730137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA Psy 9238) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy 9238) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA Psy 9238) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA Psy 9238) | |
| 103TF0000X Psychologist, Family (Licence: CA Psy 9238) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA Psy 9238) | |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |