| NPI | 1891297107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 4207) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-13467) |
| 103TC0700X Psychologist, Clinical (Licence: CA 33863) | |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2026-06-30 |