| NPI | 1023400694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14 -17496) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT146576) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2024-06-04 |