| NPI | 1922312594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30884) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 30884) |
| 106S00000X Behavior Technician | |
| 103T00000X Psychologist (Licence: CA 30884) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2023-11-29 |