| NPI | 1962768861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 220155802) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-04-1754) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2026-03-30 |