| NPI | 1073897534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109392) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-17-8412) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2019-04-19 |