| NPI | 1023460011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA RBT 16-15204) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-20-41534) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2020-04-27 |