NPI | 1093041196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-15-19368) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 51769) |
Enumeration Date | 2009-10-23 |
Last Update Date | 2024-07-27 |