| NPI | 1013330620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98990) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-14-10236) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2019-05-16 |