| NPI | 1902616964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 4368) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-12-10527) |
| Enumeration Date | 2025-01-11 |
| Last Update Date | 2025-10-12 |