| NPI | 1992821268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 22697) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA BCBA-D: #1-08-4642) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2015-01-27 |