NPI | 1124197306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-12-12443) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF50070) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2024-08-15 |