| 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 |