| NPI | 1891008553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-04-1734) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 23756) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2017-08-01 |