| NPI | 1982946588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3677) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst (Licence: CA 1-13-13165) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2023-09-22 |