| NPI | 1861965584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 220171100) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2024-12-18 |