| NPI | 1992049639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY28009) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1118786) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2020-01-10 |