| NPI | 1922794858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-56864) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 8762) |
| 103TS0200X Psychologist, School (Licence: CA 3613) | |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2024-11-08 |