| NPI | 1952673931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-04-1563) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 28358) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2017-08-01 |