| NPI | 1104119247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-11-9368) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF66160) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2012-04-03 |