| NPI | 1992273015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSB94027431) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 106S00000X) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2023-08-02 |