NPI | 1891297107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33863) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-13467) |
Enumeration Date | 2018-03-02 |
Last Update Date | 2023-12-05 |