| NPI | 1922815687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-16-24609) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY36032) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-08-29 |